基于护理临床思维训练模式的构建与实施在护生培训教学中研究分析
Construction and Implementation of a Clinical Thinking Training Model Based on Standardized Patients and Simulation in Nursing Student Education:A Research Analysis
谢露萍 1郑妙芬 1虞恬君 1羊炜霞 1曾珊珊1
作者信息
- 1. 浙江大学医学院附属第一医院护理部,杭州浙江 310003
- 折叠
摘要
目的:探究标准化病人结合情景模拟教学的培训对护理实习生护理临床思维能力的影响.方法:本研究为非同期类试验性研究,采用便利抽样法选取2019年6月至2020年2月浙江大学医学院附属第一医院消化内科的38名本科护理实习生为对照组,实施传统教学模式.2020年6月至2022年2月浙江大学医学院附属第一医院消化内科的39名本科护理实习生为试验组,开展标准化病人结合情景模拟教学的培训.结果:在出科考试中,我们以护理迷你临床演练评估量表(mini-clinical evaluation exercise,Mini-CEX)的评分作为评价指标,试验组的临床思维能力显著高于对照组的临床思维能力(P<0.01).结论:标准化病人结合情景模拟教学模式可以通过减少护生的紧张情绪,进一步激发护生的自主学习能力,并且有利于护生临床思维的形成,从而大大提高了护生的临床思维能力,最终使得培训教学的效果得到了显著的提升.
Abstract
Objective:To investigate the impact of training using standardized patients combined with scenario-based simulation on nursing students'clinical thinking abilities.Methods:This study was a non-synchronous experimental design.A convenience sampling method was used to select 38 undergraduate nursing interns from the Digestive Medicine Department at Zhejiang University School of Medicine First Affiliated Hospital from June 2019 to February 2020 as the control group,who received traditional teaching methods.Another 39 undergraduate nursing interns from the same department from June 2020 to February 2022 constituted the experimental group,which received training incorporating standardized patients and scenario-based simulations.The Mini-Clinical Evaluation Exercise(Mini-CEX)scale was used to evaluate clinical thinking ability in the exit exam.Results:The clinical thinking ability of the experimental group was significantly higher than that of the control group(P<0.01),according to Mini-CEX scores.Conclusion:The use of standardized patients combined with scenario-based simulation teaching methods can reduce anxiety,enhance self-directed learning,and significantly improve nursing students'clinical thinking abilities.This approach substantially enhances the effectiveness of training and education.
关键词
护理/临床思维/标准化病人/情景模拟教学/Mini-CEX评估量表Key words
Nursing/Clinical Thinking/Standardized Patients/Scenario-Based Simulation Teaching/Mini-CEX Evaluation Scale引用本文复制引用
出版年
2024